| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LORA KRUSE | 1013500768 | 2021-02-13 |
Lora Kruse is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013500768. Registration indicates Lora Kruse is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Lora Kruse RN |
| Practice Office Address | 117 TRAILS CIR W RANCHESTER, WY US |
| Practice Office Telephone | 4065513169 |
| Mailing Address | PO BOX 1062 RANCHESTER, WY 828391062 US |
| Other URL [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 26735
MT |